Jackson, Suzanne E

Jackson, Suzanne E is an individual health care provider with primary practice located at 550 17Th Ave 5Th Floor, Seattle WA 98122-5788. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Jackson, Suzanne E can be contacted via phone (206) 386-3880.

Contact Information

Primary practice address
550 17Th Ave 5Th Floor Seattle WA 98122-5788
Phone: (206) 386-3880
Fax: (206) 386-3882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X LD00003628 Washington

Profile Details

NPI number 1578760476
LBN Legal business name Jackson, Suzanne E
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Feb 10th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578760476 NPPES
Washington Other 0218398 STATE L&I PROVIDER ACCT #
Washington MEDICAID 500664133 STATE L&I PROVIDER ACCT #
Washington MEDICAID 1092181 STATE L&I PROVIDER ACCT #

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